Preoperative work-up for donor main consideration for laparoscopic surgery

Takeshi Takahara, Go Wakabayashi, Yasushi Hasegawa, Hiroyuki Nitta, Hirokatsu Katagiri, Shouji Kanno, Akira Umemura, Akira Sasaki

Abstract

Pure laparoscopic donor hepatectomy (PLDH) has become increasingly accepted in the current era of minimally invasive surgery. However, only skillful surgeons with enough experience in both laparoscopic liver resection (LLR) and living-donor liver transplantation (LDLT) should perform pure laparoscopic donor right hepatectomy (PLDRH). In this paper, we review the evaluation of donors and work up of PLDRH in several high-volume laparoscopic liver surgery centers in Asia. Moreover, we analyzed the frequency of anomalies of the vessels (hepatic artery, portal vein, and hepatic vein) and the bile duct in PLDRH.